Virginia
Sign in
Back
Sheila Amonzabel

Inspection · 2023-05-03

Date
2023-05-03
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted today between the hours of 10:55am-12:45pm. There were 4 children directly supervised by the provider. The home, 1 caregiver record, 3 children?s records, 1 household member?s record, evacuation drills, and emergency supplies were inspected. Children were observed playing freely. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations

6
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for 1 child.

Evidence:
1. Provider stated Child #1 began attending the family day home in 2022.
2. There is no documentation of a physical exam in the record for Child #1.
Plan of Correction: I will ask the parents.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, every two years.

Evidence
1. The most recent documentation of a tuberculosis screening in the record for household member #1 was dated 8/20/2020.
Plan of Correction: A tuberculosis screening for Household Member #1 was obtained on 5/5/2023.
Standard 8VAC20-800-50-A
Based on record review, the family day home did not keep a written record of children's attendance each day.

Evidence:
1. Documentation of daily attendance was not up to date.
2. The record of attendance for 5/1/23, 5/2/23, and 5/3/23 were not documented.
Plan of Correction: Provider updated attendance documentation during inspection.
Standard 8VAC20-800-60-B
Based on record review, 2 of 3 children's records did not contain all required information.

Evidence:
1. The record for Child #1 did not contain the child's first date of attendance.
2. The records for Child #1 and Child #2 did not contain the policy number of the child's medical insurance.
3. The record for Child #1 did not contain the name, address and telephone number of 1 of 2 designated persons to contact in case of an emergency if the parent cannot be reached
4. The record for Child #2 did not contain the address of 1 of 2 designated persons to
contact in case of an emergency if the parent cannot be reached.
Plan of Correction: I will ask the parents.
Standard 8VAC20-800-830-B
Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year.

Evidence:
1. Documentation of emergency procedures indicated there were no shelter-in-place drills completed during the year 2022.
Plan of Correction: I will make sure I do them this year.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the first date of attendance for 1 child.

Evidence:
1. Child #2 began attending the Family Day Home on 9/19/2022.
2. Documentation of immunizations in the record for Child #2 was dated 9/22/2022.
Plan of Correction: Documentation of the immunizations were obtained and placed in the file.
View original record on Virginia Department of Social Services